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Individual

CHRISTY LYNNE DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1271 MEADOW DR, KENT, OH 44240-3231
(330) 715-1392
Mailing address
1271 MEADOW DR, KENT, OH 44240-3231
(330) 715-1392

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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